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1.1.1: Obtain, interpret, assess, and/or evaluate information from patient interviews

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HF is a 29-year-old woman who was diagnosed with genital herpes 6 years ago. She reports approximately one to two recurrences each year since diagnosis. Recently she has experienced an increase in outbreaks, having three in a 6-month period. The decision is made to start HF on daily suppressive therapy. Select the most appropriate therapy for HF.

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(A) Valacyclovir po

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(B) Erythromycin ointment

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(C) Doxycycline po

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(D) Acyclovir ointment

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The correct answer is (A).

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Valacyclovir is a prodrug of acyclovir that has increased oral bioavailability. It is a recommended agent for daily suppressive therapy.

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DA has been diagnosed with chronic HCV genotype 1. His past medical and social histories include a history of IV drug abuse, alcoholism, a wife (married 30 years) with chronic HCV, and a blood transfusion in 2002. During your patient counseling session, DA asks you how he most likely acquired HCV. You correctly tell him

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(A) Blood transfusion in 2002

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(B) Sexually transmitted from his wife

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(C) Intravenous drug abuse

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(D) Alcoholism

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The correct answer is (C).

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Contact with blood contaminated with the HCV virus is the most common route of transmission with intravenous drug use being the number one method of transmission.

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LK is a 37-year-old HIV-negative new patient at the clinic you work at. He receives a Mantoux skin test that returns positive 2 days later. He was born in the United States and works as a prison guard. He injects heroin on a regular basis. His chest x-ray comes back normal, he has no symptoms of tuberculosis, and his smear culture is negative. What type of drug therapy would be appropriate for this patient?

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(A) Isoniazid 300 mg daily × 9 months

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(B) Rifampin 100 mg daily × 4 months

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(C) Isoniazid 300 mg and rifampin 600 mg × 6 months

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(D) Isoniazid, rifampin, ethambutol, and pyrazinamide

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The correct answer is (A).

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The patient does not have any symptoms or indications of active TB disease; so he needs treatment for latent TB infection. This is the correct first-line regimen for treatment of latent TB infection.

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LO is a 28-year-old woman who found out her boyfriend has chronic hepatitis B (HBV). They are sexually active and plan to ...

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